Yeniel Ahmet Özgür, Ergenoğlu Mete Ahmet, Meseri Reci, Aşkar Niyazi, Itil Ismail Mete
Department of Gynecology and Obstetrics, Faculty of Medicine, Ege University, İzmir, Turkey.
Department of Nutrition and Dietetics, İzmir Atatürk School of Health, Ege University, İzmir, Turkey.
J Turk Ger Gynecol Assoc. 2012 Jun 1;13(2):98-101. doi: 10.5152/jtgga.2012.11. eCollection 2012.
To determine the relationship between overactive bladder symptoms and urodynamic verification of overactive bladder.
Between June 2011 and November 2011, 159 patients underwent urodynamics (UDS) at our urogynecology unit in the Ege University Hospital. Of these, 95 patients who complained of urgency, did not have any overt neurological diseases, bladder outlet obstruction and did not take any medication affecting the lower urinary tract function were evaluated. SPSS (ver. 15.0) was used to evaluate the data and the chi-square test and t test for independent samples were used for analysis.
The mean age was found to be 54.5±12. Frequency was the most frequent symptom in women with overactive bladder (OAB) (82.1%), nocturia (57.8%) and (57.8%) urgency urinary incontinence followed in frequency. Detrusor over activity incidence was found to be 38.9%. There was no significant relationship between the presence of detrusor over activity (DOA) and OAB symptoms. Leak at urodynamics was found in 46.3% and there is no significant association with detrusor overactivity. Total bladder capacity was found to be significantly lower in women who had DOA (p=0.000).
It appears that overactive bladder symptoms do not predict detrusor over activity. Urodynamic investigation is not mandatory in the initial management of women with only OAB symptoms.
确定膀胱过度活动症症状与膀胱过度活动症尿动力学证实之间的关系。
2011年6月至2011年11月期间，159例患者在伊兹密尔艾杰大学医院的我们的泌尿妇科单元接受了尿动力学检查（UDS）。其中，对95例主诉尿急、无明显神经疾病、膀胱出口梗阻且未服用任何影响下尿路功能药物的患者进行了评估。使用SPSS（版本15.0）评估数据，并使用卡方检验和独立样本t检验进行分析。
发现平均年龄为54.5±12岁。尿频是膀胱过度活动症（OAB）女性中最常见的症状（82.1%），其次是夜尿症（57.8%）和急迫性尿失禁（57.8%）。逼尿肌过度活动发生率为38.9%。逼尿肌过度活动（DOA）的存在与OAB症状之间无显著关系。尿动力学检查时发现漏尿的比例为46.3%，与逼尿肌过度活动无显著关联。发现有DOA的女性的膀胱总容量显著较低（p = 0.000）。
似乎膀胱过度活动症症状不能预测逼尿肌过度活动。对于仅有OAB症状的女性，在初始管理中并非必须进行尿动力学检查。
